[Patellar fracture after anterior cruciate ligament reconstruction using a bone patellar tendon bone transplant: a comparative study of two harvesting techniques].
OBJECTIVE
We studied the incidence and the impact of patellar fracture after anterior cruciate ligament (ACL) reconstruction, comparing two harvesting techniques.


METHODS
Series A included Kenneth Jones ligamentoplasties (n=1234). The distal and central part of the patella were harvested using an oscillating saw and a gouge. Series B included 676 Mac InJones reconstructions performed during the same period. The patellar cut was done from porximal to distal its attachment were harvested with a manual wire saw. The bony harvesting site was filled with cancellous bone.


RESULTS
There were three postoperative transversal patellar fractures (0.24%), all in series A. Functional outcome was disappointing but there was no impact on knee stability.


CONCLUSIONS
The fact that the Mac InJones technique does not involve a transversal cut would apparently prevent secondary fracture.
Chouteau
J
J
Service de chirurgie orthopédique, de traumatologie et de médecine du sport, centre hospitalier Lyon-Sud, chemin du Grand-Revoyer, 69495 Pierre Bénite cedex, France. juchout@club-internet.fr
Laptoiu
D
D
Lerat
J-L
JL
Moyen
B
B
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D050376:Bone-Patellar Tendon-Bone Grafting; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D008297:Male; D010329:Patella / Q000293:injuries*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*